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4691 Nicols RdAddress 46q i N; vai s u na a Zip 55129 Lot 2 Blk 1 Sub Cedarview 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: r 6._0 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) X Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish ? Deck Please verify with the buIlder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before fteeze potential exists. Conqct engineering division at 681-4645 before working in right-of-way or instalIing underground sQrinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy & g l6-1 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 19? 3o Date ( I ?S I OS STALBOERGER, CHRIS . 4691 NICOLS ROAD , Site Street Address EAGAN, MN 55122 Uf11t # (651) 454-2128 . property Owner ------ "- -- ? Telephone # ( ) NORBLOM PLUMBING CO. contractor Telephone # ( ) Address City State Zip MlNNEAPOLIS, MN? Other The Applicant is: Owner ontrac or _ Alterations to existing dwelling D??? Add plumbing fuctures (excludes water softener and/or water heater--caete nex? $ 50.00 ,! _ section if installing these appliances). UU APR 2 ?005 _Septic System Abandonment gy _WaterTurnaround (add $125.004 a 518" meter is required) _ Other: _ Water Softener ! Water Heater $ 15.00 _ new repVacement __4 Lawn Irrigation _RP2 _?,PVB `!L new _repair _rebuitd $ 30.00 State Surcharge $ .50 Total $ !30 . 50 I hereby apply for a Residential Pfumbing Permit and acknowledge that the information is complete and accurate; that the work will be,.in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. <IQ4 IVO'fUwV1 - ApplicanYs Printed Name Applf . igna ure t!' U S . / RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 `ro ? ?" - 1" New Construdion Reouiremenfs RemodellReoair Reauirements Offce Use Onlv 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert ol Survey Recd (20%maximum lot mverage allowed) 1 sel of Energy Cakula6ons forheated atlditions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pres Not Reqd isetofEnergyCalculations Aodilrott-indaaterfrnnsdesepticsystem _Do-siteSepticSystem 3 copies of Tree P2servation Plan if bt plaHed after 711193 Rim Jaist Dehail Options selection sheet (bldgs with 3 or less units Date 7 / a a l? Site Address 4(r4 1 N CGd L S ? Construction Cost .??, D!7(? 4 ft? Unit/Ste # Description of Work /_OWi?X 1,6U, ?Elpl(5 hrr _ Property Owner F /411,1.A ry? (? [{R! ST st/? STitLF3n?-ae%F..? Telephone #(?a51 > Usy -?r a S Contractor Lau &,¢' C'1TI l?"D{9?? '.s ' Address 7y ; State A2/t/ t.a (?RlGF[/lc.Lj;5 $ rc?G&AIVD City LM?FV??-? Zip 53_0Vt1 Telephone#( A;>) COMPLETE THIS AREA ONLY IF -'`^ - Minnesota Rules 7670 Cateeorv I Energy Code Category . Residential Ventilation Category 1 Worksheet (J submission type) . Submitted • Energy Envelopa Calculations Su6mitted Licensed Plumber Mechanical Contractor Sewer/water Contractor T rei JI1' ," A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( uu L) , I hereby apply for a Residential Building Permit and ackno ledge that_th ation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. c,l Applicant's nted Name jcanYs?ignah e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) O 05 03-plex ? 11 10-plex al' 19 Lower Le/v& I O 24 Storm Damage ? 06 04-plex p 12 12-plex Plbg?[Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 32 Addition §K 33 Alteration ? 34 Replacement Valuation a U v e) Census Code 113 ? SAC Units ? Nbr. of Units (?) Nbr. of Bldgs / Type of Const 5116f_ _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundatlon Drain Tile Roof _ Ice& Water Final ' Framing Fireplace _ R.I. Air Test Final ? Insulation ? Occupancy g- ?i MC/ES System Zoning R-1 City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered ? W idth REQUIRED INSPECTIONS FinallC.O. a' FinallNo C.O. ? Plumbing ? HVAC Other _ Pool Ftgs Air/Gas Tests _ Fina1 _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall P,pproved By 6 i° -2-yg o3 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 EM. Alt- Multi ? 33 Ext. Alt - SF ? 36 MuIU Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs 'Demolition (Entlre Bldg) - Give PCA handout to applicant b` ? 3`FLO PLUMBING (RESIDENITAL) J Permit Apptication ? ??r ?1?? City Of Eagan h 3830 Pilot Knob Road, Eagan Mn 55122 1°,(.? Telep? ne # 651-675-5675 FAX # 651-675-5674 0 d ?•?? --?- Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit ?7 ? 0 Date / / / J Site Address Unit # Property Owner bS'FylPJ S ? Iho(e4 eK?Telephone #(6?q) y???'Z 1 Z-a Contractor i -t," gqNl- Addres s 1M1qrJ S • Vor}Q{?,?' T/?U. -(? - /? ?? 7 W VI / 1ftjnI - I r ' Y) Zip 523))-4,5 Telephone # QQ)-7) QZ3-1/4L' The AppGcant is _ Owner ^' Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 . Includes County fee. Additlonal consuiffint fees may apply. AI[er?a?ons To ESSNng Dwelling Unit, Including $ 50.00 ? Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water lurnaround (+ 5!8" meter'rf needed -$121.00) Other: _ RPZ _ new installafion _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ R'ater heater $ 15.00 _ replacement _ additional ? ? `+ $ .50 State Surcharge ? l T t 4Y o a ` hereby apply for a Residenrial Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will ie in confonnance with the ordinances and codes of the City of Eagan and with ffie Plumbing Codes; that I understand tlus is not a pernut, but only an applicarion for a pernilt, and work is not to start without a permit; tUat the work will be in accordance with the approved plan in the case of work wlrich requues a review and approval of plans. C(? Kl S?i ?c f IS C(,t,t°.? ?-? ApplicanYs Printed Name Applicant's Signature , L 2 BL I CITY USE ONLY RECEIPT J?5p!,?i7 #: ( / SUBD. ??,(+aYVI? )nj RECEIPTDATE: '/7,aG PERMIT# 4073b_ 8000 PLUM$IN6 PERM1T (USIDEN1'IRL) crrYoF EAsAN 3830 Pu.or Kxos Rn f ABAP, b!N 55122 851-6$1-4875 Please complete for: ? single tamily dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES TOTAL EACH # Alterations to existing dwelling - minimum fee Describe: $ 30.00 ' Bath tub $ 3.00 x - $ pO- Floor drain 3.00 x ? _ $ Gas i in outlet ' minimum - i 3.00 x = $ "O- Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x f = $ Laund tra 3.00 x 1 = $ Lavato 3.00 x -15 = $ °- Se tic S tem newfrefurhished ' requlres MPC Ilc. 75.00 x = $ Se tIC S Stem abandonment 30.00 x = $ ? RPZ new Instaliation/repaidrebuild 30.00 X = $ Rou h o enin 1.50 x = $ ?fEO- Shower 3.00 x - $ cO- Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existln dwelling 30.00 x = $ Watercioset 3.00 x 3 = $ I Water heater 3.00 x = $ .? W ater softener If dwelling under constructlon 5.00 x = $ W ater softener if exisen dwenin 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 -> ---> ---> $ .50 Total --> -> --> ----> $ °o Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ..-•--------------•-----------•-------------•-------....-•-------------••--------••-------••---------• •---------------....-------•-----• •---- I hereby acknowledge that I have read this appliption, sfate that the information is wrtect and agree to comply with all applipble City of Eagan ordinances. It is the applicant's responsibility to notl(y the property owner thatthe Cily of Eagan assumes no liability for any damages pused by the City during i5 nortnal operational and maintenance acGvities lo the faciliGes consWCted under this permit within City propertylrightof•way/easement. SITE ADDRESS: L4(O,:A\ I.vC` v?< OWNER NAME: :_06)+teac, cp ?Aaxe-LTELEPHONE #:6I Z L4 (ag- n (AREA CODE) INSTALLER NAME: STREET CITY: TELEPHONE#: C9Jl qZ-f?)-(iL44 _ (AREACODE) CITY USE ONLY LOT ? BL PERMIT #: ??737 SUBD.CPdarview )nj REcEIPT RECEIPT DATE: 2000 MECHANICAL PERbiIT (RESIDENTIAL) Date: W / oQ Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) cxxx o£ EAsa+x 3830 PILOT HIiOB RD EAGAN D47 55122 651-681-4675 $ 30.00 6.00 State Surcharge .50 Total $ 2- Complete this section onlv if you aze remodeline, adding to, or reoairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Fumace Air exchanger _ Repair _ Other _ A'v conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Cal! for inspections SITE ADDRESS: y /}_ S Z OWNER NAME: l?I IeC??(? ,L'r`r tlc4e? PHONE #: ivvd? -??R" lQ9?O ? ? (AREA CODE) INSTALLER NAME: ?^! Z^[ PHONE #: ta S I - 4 Z 3-1 ILFt/ (.nxea couE) STREE CITY: *:***?**?*?:+**.+********?*?*** CONTINU] CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:49:19 ID: NAME: COLLEGE CITY HOMES 3743 9220 4681 NICOLS RD 50.00 2155 9001 4681 NICOLS RD 68,00 3868 9220 4681 NICOLS RD 492.00 3716 9220 4681 NICOLS RD 114.00 3713 9220 4681 NICOLS RD 50.00 3865 9220 4681 NICOLS RD 840.00 2252 9220 4691 NICOLS RD 30.00 3210 9001 4691 NICOLS RD 1,105.75 3866 9379 4691 NICOLS RD 100.00 3430 9001 4691 NICOLS RD 0.25 CR128319 ** CONTINUE: USER ID: JAN ** CONTINUEi 'A"k ?"k'A"A"?' ?"A' ?"?' ?".E ?['?[ ?['/?' ?[ :t'A".? tF'{' 4 i i i i i .. i i .. .• . . . . •**?***** **+rr**,r*,r*??*?****? ?** CONTINUF CITY Or^ EAGAN CASHIER: JS TERMINAL NO: 795 DATE : 04/28 /00 TIME: 08:49:21 ID: NAME: COLLEGE CITY HOMES 3422 9001 4691 NICOLS RD 718.74 2275 9220 4691 NICOLS RD 1,089.00 3446 9001 4691 NICOLS RD 11.00 2155 9001 4691 NICOLS RD 0.50 3743 9220 4691 NICOLS RD 50.00 2155 9001 4691 NICOLS RD 60.00 3868 9220 4691 NICOLS RD 492.00 3716 9220 4691 NICOLS RD 114.00 3713 9220 4691 NICOLS RD 50.00 3865 9220 4691 NICOLS RD 940.00 Total Receipt Amount: 13,896.06 CR128 319 USER ID: SAN ??++a+,t*t*,r**,r******ttt,t:t*,t*+****t,t*,t** ..xxx?.,************+*****************. CITY 0:' EAGAN )_( 0 (?, CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:49:17 ID: NAME: COLLEGE CITY HOMES 2252 9220 4695 NICOLS RD 30.00 3210 9001 4695 NICOLS RD 965.75 3866 9379 4695 NICOLS RD 100.00 3422 9001 4695 NICOLS RD 627.74 2275 9220 4695 NICOLS RD 1,089.00 3446 9001 4695 NICOLS RD 11.00 215E 9001 4695 NICOLS RD 0.50 3743 9220 4695 NICOLS RD 50.00 2155 9001 4695 NICOLS RD 48.00 3868 9220 4695 NICOLS RD 492.00 CR128319 ** CONTINUE USER ID: JAN ** CONTINUE #f+aa+a++aa+a.++a++aaaa+aa.++t#ir********* ?****+***?*?*t**:r*+*******,r;t,r• CONTINU CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:49:18 ID: NAME: COLLEGE CITY HOMES 3716 9220 4695 NICOLS RD 114.00 3713 9220 4695 NICOLS RD 50.00 3865 9220 4695 NICOLS RD 840.00 2252 9220 4681 NICOLS RD 30.00 3210 9001 4681 NICOLS RD 1,195.35 3866 9379 4681 NICOLS RD 100.00 3422 9001 4681 NICOLS RD 776.98 2275 9220 4681 NICOLS RD 1,089.00 3446 9001 4681 NICOLS RD 11.00 2155 9001 4681 NICOLS RD 0.50 CR128319 ** CONTINU USER ID: JAN ** CONTINU :r?**********:r***?************x**?***?** .... .......rxxz*x*xxxx*zx CITY OF EAGAN CASHIER: JS TERMINAL NO: 795 DATE: 04/28/00 TIME: 08:50:17 zn: NAME: LBI INC 3743 9220 1959 SILVER BEL 50.00 3713 9220 1959 SILVER BEL 50.00 Total Receipt Amount: 100.00 CR128321 USER ID: JAN *******?*??****++*?********:r***x******* `i ^I boerLjwi' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) i D40 cirr oF EAcaN * 3830 PILOT KNOB RD • 55122 L ? 651-681-4875 L 1U?9,?) a S replMeretl qfe wneys ffawiny tq. IL of lot, tq. R. ol house anC ? roofed areas C1?7, rtimdmum bt coveraae nibwedf D 2 coples ol Pla?s (show beam S wlntloW ?Ixex Pa+retl hW. deqpn: etc.) > 1 set a a»rpy cmcutanona D 3 Copies d hee preservatbn plan tl bf plaHed CAter 7/1/99 oA,E: 6? I i??, aooo OESCRIPTION Of WORK: ?CItU1?U'2'?5+y?,(,/°,T1? v - . 4- -4`7 - U c? ?ismodeii¢eoair Ke?--?aNremenn- 2 copies of Plan 1 wt of eneryy cdculaHOns tor heated aWflons I me wNey r« eMenor aaaUnan a aecw CONSTRUCiION COST: STREETADDRESS: 40I iUr_al s Iz)d J ' LOT: ?L_ BLOCK: I_ SUBD./P.I.D. C: &G"iCI.'/ LA-{,i.U 2-Vo ,/1 G00'11fY) Name: Phone PROPERTY lost flrst OWNER Sheet Address: 4e;?'r Stafe: Company: 6)I It/,1 P._,t-tfiYVl f S Phone #: 11?/? 1?119C( 'LL/? (area code) CONTRACTOR Sheet Address:?zti 1,/? I/, /An. i I'r, ?l oG] ueense # -L-U?L-Exp. CIN ??A U{I?? 1 ?? State: 010- Lp: 5"?J6 ??--? ARCHITECT/ ?- ENGINEER Company: .! Name: Telephone C Sheet Address: Regkhafbn ?: CHy Sewer/water Iicensed plumber I hereby acknowledpe that I have read this appocalbn, alafe Ihal of Minsneaota Stahiles and Cify of Eayan Ordinaneea Signature of OFFICE Certificates of Survey Received o/ es _ No Tree Presenation Plan Received - Yes _ No State: ONLY Zip: LP: Phone#: ( (U?Jl) U23- 11y L/ oareef, and aWee to compy wNh ad appRcable State r ? W!Not Required tv OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation ? 07 OS-plex ? 13 76-plex O 21 Poroh (3-sea.) 02 SF Dwelling O OB 06-plex ? 17 Garage [3 22 Porch/Addn. (4-sea.) 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower level ? 24 Stortn Damage 0 05 03-piex ? 11 10-plex Pibg _YOr_N O 25 Miscellaneous O 06 04-piex ? 12 12-plax ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. [3 43 Reroof O 32 Addition ? 37 Demolish (Bldg)' O 44 Siding O 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERALINFORMAnON? SAC Code No. of Units No. of Buildings / Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. -Main level sq. ft. sq. ft. Stucco/Stone 61fPC14- APPROVALS Planning _ Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Vaiuatic &--eO2 lL yi.?? ?;,-,-?j ,Q"?0 6-1l11 of fr? Tota SAC Units % SAC ?Eq -?JC? 7bfl ---Ca-r2? sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Td? Engineering Variance , O 31 Ext. Alt - Multi O 33 Ext. Att - SF 0 36 Mutti ? ? GIAV 372, ?,J1 b n: $ D O /O 4'y ),qo ; ,?q4? )e S q = s -( 7 0 0XS`q=31,??? L> 'y / I 9j 0/ ? , 4qD' SPcir l':X1'liItIUIL fNVGI.OI'li AVh:ItAGL "U" CO!'IPU7'ATlpil I st•rL AUDRIEJJ L} 0I M L1 S 'p2narl?.i ?AL*t L'?- - CONTttnC'i'Oa College City C'onstrnction oATe ruo??L °„ ,?.?. (u I Z- 41nR G?-?OD Dctcrminc uorkiny squarc fooL-aqc oC each. 1. 'foWl exposed wall arca ....... 171/s•0 sq, f2. x •<< = 141-4 2. Total roof.cciling arca ....... 105q.O ::y• ft- x •025 = Z7.1 Total exposed wall area above floor = /7NS•0 ' a. Total wall window area .................................... ? Z yq b. Tota1 door area ........................................... 410. g c. Total sliding glass door'area ............................. 3/-2- d. Total fireplace wall area ................................. O C. Tota1 wall framing area (averaqe 10e) ..................... 7!1- s f. Total net uall area above floor ........................... ?j7 •I q. Total rim joist area ...........................:.......... ?fI (n•(o TAtal exposcd foundation arca = '( 3'3 h. Total found.ation vindow arca .............................. O i. Total net foundstion area above gradc ..................... 3•3 Getermine "U" value of eacti wall segment. a. ? Z g. 1.j X ,.U-- . '.SS = & $ . 41 b. Np B X 'u" 3•1 c. 31, ?. x .1u.• , 5 s' _ /7. z a. O x °u^ e. 17y• 5 x '•u.• , 12- = 7n _ 4 x ..U,. . .?. 11 ?o• l? ,. Li„ . o y7 - S,S O - D 93•3 . ..... . 0 83 7.5 ......... ........ J ...... .....Total = J30.L ......... IC itcro q3 ir, thc samc as, o r lc:;s than iCem 01, you 1110. ehc intunt f/ g! 4? µ of SISC 6006(c)2. -Ct4,,,, + 3 ?$ O. fo G , / ,,c,,,"Ja SO c. 4 6 O l. ) a. Total exposed rooE/ ccilin?j arca = / D?.O j. Tota1 skylight area ....................................... _ d Y.. Total roof/cciliny Erarniny an:a iavcrayc LD'i.J ............. 1O8•? 1. Tota1 net insulatcd roof/ccilinq acco ..................... 7$??_?._ De[ormine "U" valur Eor each rooE/ceiliny se(Jnenr. j, p x^u° O O k. JL).$ .?{ X"U" , OZS = z•7 1- x .,W. ,p?,/ = Zo•S 4 ......................••.... . ......Total = 231 L If total of #4 is the same as, or less than 42, you Via/va, met ttic intent of SBC 6006 (c) L. ?,Qa,? x?l C23• +. ? G ??c« h z?_'7• !? bo0 4 C Alternatc Building Envelope Dcsiqn To utilize the total enveLope system method, thc values esta6li5h,2d by the sum of items kl and 94 shall not be greater than t}ie sum of itcros @L and 92• i. I 41• 4 + z 3. l8m•v + a 2?.? = Z19?d 73•z = zo •8 a20ftl-? Cz (4 • 0) > ??? . • LOT SURVEY CHECKLIST FOR RESIOENTIAL ' BUILDING PERMIT APPLICATION ? ff42"? L ? PROPERT Y LEGAL: OT h DATE OF SURVEY: ?-IZ-OO W LATESTREVISION: y?f7-OO ? ? DOCUMENTSTANDAROS 0 Q Q ? a • Registered Land Surveyor signature and company ? ? • BuildingPermitAppGcant o ? Legaldescription o?jo ? ? Address d/? a . North artow and scale ?'/ ?.? • House rype (rambler, walkout, split w/o, splh entry, lookout, etc.) ? o • Directional dreinage anows with slope/gracrient % m'/ ?? • Proposedle?dsting sewer and water services 8 invert elevation q' ? o • Street name ? ? ? • Driveway r?? ? • Lot Square Footage qY a ? • Lot Coverage ELEVATIONS Exis6na ? ? ? • Sewer service (or Proposed) v? ? ;/ ? • Property comers Top of curb at ttie driveway ? ? : Elevations of any ebsting adjacent homes ?? Adequate fooUng depth of structures due to adjacent u4Tity trenches ? Prooosed y ? ? • Garagefloor ?/a ? • Firstfloor ?l o ? • Lowest expased elevafion (walkouUwindow) ?? o ? • Property corners T d ti o ? • oun a on Front and rear of home at the PONDING AREA (if aooGcable) ? /? • Easement line ? a?/ ? Y . NWL HWL ? s ? o V// ? . • Pond # designafion ? r? o • Emergency Ovefiow Elevation DIMENSIONS ?o o • Lot IinesBearings 8 dimenaions ?? ? ? Rightof-way and sVeet width (to back at curb) ?? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. ? (i.e. all structures requiring permanent faotings) ? ? • Show all easemeMS of record and any City utllides within those easements ?? /o ? o' o • • Setbacks of proposed structure and sideyard ck of adjacent exiating structures Retaining wsll requirements, R any/? I,-,' Reviewed: I i? ' MarU1199B cauoIeLocvnnrr.FM ! t ? S?,crveyor's Cert2f2cate SURVEY FOR :couE?E arr DESCRIBED AS :Lot 2, elock 1. CEDARVIEW 2N0 ADDITION, City ol fogon, Dokoto County, Minnesota ond reserving eosemenfs ol re?cprd. b"•? leo, --? ..., . .. ?-34.34 13.67 20.67 93 . ! q`D3.2 S89'37'18"W 2 7.92 0.31 93o.l qbp. u. .. . . . ... ... 12.38 ? 29J2--i ___________ _____ _________...-'_ _1_.. 41 9353 1 935.6 0? o? ? I I?i f q315 26. 3 q? I I j 3 ti I o A r 2rn o N? ? C O 1o PropOSe d O?(?.+ 114 33, m 2-Story N O. Droinoge & Utlnty t? ?c o1Zc% I -?, I Easemenl '? ti 32.0 77. m 0 ocn ? 929.e N 1 N? 8.00 I V 1 aPPROx lp ? 6ERYIC ? } ? ? o N ? ? ? 933. I 931__5 1.67 Gorage m 994. 5.3;y. I ? N E I O I ? - -?------?--- --e sr- 9? - -- N89'59 O1"E 40.659 0l 930.9 q293 sq29.v ?-Wh1l ..., . 29. ? I N LOT SQ. FOOTAGE = 23,147 HOUSE SQ. FOOTAGE = 1,647 LOT COVERAGE = 71'o `T ;r ?. a 4 (? E p ?? t, ? t1 ! r. -4 ? P I)?i1•%_ . ? . .^.^' ? T. . rt ...r . y . ` . ?-. ..,.. .. _ .. _ ? - ':'?-`'- . 5 r? PROPOSED ELEVATIONS Top of Foundation = 93q,5 Gorage Floor = 934,i Basement Floor = a2(0,q Aprox. Sewer Service = 022.o'_ Proposed Elev. Existing Elev. _ Droinage Directions = Denotes Offset Stoke = . SCALE: i inCh = 30 feet BENCHMARK, C P c"b Stop Elev= 929.49 MIN. SETBACK REQUIREMENTS Front - House Side - Reor - Garage Side - RECEIVED APR 2 Q ZOQO I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0: HEDLLI?ND OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED OOR-167 BY ME OR UNDER MY DIREC7 SUPERViSION AND DOES NOT PURPORT TO 800K: PAGE: SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. PLANN/NC BNC1N6'BR/NC SURV6Y/NC 2005 Pin Ook Drive /j Eagon, MN 55122 DATE _`"J'_/n/QQ CAD FiLE: Phone: (657) 405-6600 n' E . LINDGREN, LAND URVEYOR Fo. :(651) 405-6606 ?GV' ?/17 /0?? MINNES TA LICENSE NUMBER 14376 CV2 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084743 Eagan, MN 55122 . Date Issued: 07/29/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4691 Nicols Rd Lot: 2 Block: 1 Addition: Cedarview 2nd PID 10-16931-020-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Signature Home Services Philip G Stalboerger 758 Reaney Ave. 4691 Nicols Rd St. Paul MN 55106 Eagan MN 55122 (651) 731-1147 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 9 Use BLUE or BLACK Ink i 1-----------------, I 9 of Ea,,n R PertnR: City O Permit Fee: D, G 0 3830 Pilot Knob Road t 1 Eagan MN 55122 1 Date Recelved: Phone: (eS1) 875-5875 I Fax: (851) 675=5694 13tath L.-------- --------J 2011 RESIDENTIAL PLUMBING PER IT PLICAT~ICIN Date: V site Address: Tenant: Suite tl: RESIDENT I OWNER Name: ph~e; Address 1 Clty 1 Zip: N k c-o us AJ J,:~ CONTRACTOR Nartte%M11ERT COMPANY INC.dba CULLIGAN WA : R4 M. GROVE'liG`TS. Address: 1801 SOT" ST EAST Mr. :45~-2241 State: Zip: 55.077' Phone: 65"1 Contact: BILL•MILBE' Email: TYPE OF WORK _ New Replacement _Repalr _ Rebulld _ Modify Space _ Work h1.R.O.W. Descrl tlon wbrk•, PERMITTYPE RE$IDENTIAL• Water Heater .Water Softener Lawn hrlga0gn RPZ PV8) Add Plumbing Fixtures Maln Louver Level) • Water Turnaround • Septic System ' _ New -Abandonment, RESIDENTIAL FEES: $ 55.00 Minimum Water Heater, Water Softener. or Water Heater And Softener (Includes $5.00 State Surcharge) $35.00,Lawn Irrigation (Includes $6.00 State Surcharge) $55.00 Add Plumbing Flxtutes, Septic System Abandonment, WaterTumaround• pncludes;5.00 State Surcharge) `Water Turnaround (add $188.00 9, a 518' meter Is required) i $105.00 Septic System R4 ($10.00 pares bullt) (Includes County fee and $5.00 State Surcharge) =85.00 Fire Repair (replace burned out appliances, ductwork, etc) (Includes $5.00 Stats Surcharge) TOTAL FEES; CALL BEFORE YOU Dtd. Call Gopher State One Call at (651) 434-0002 for protection against underground utility damage. Call 48 Hours before yob Intend to dig to receW locates of underground utilities: I hereby advvMedge Nat thh Iro madon N ownplete and accurate; Oat the work wM be ln6nforma;m Whh Ne ordMarvw and codes ofqce City of Eagan. that I understand this Is a permll, but only'an applick0on'far a pemi ll. and h to start without a perm10 that Ne work VA be In scOwdance with N• approved pla In o use of work which requires arwlew and a x ' Applicant's Printed Name App canCs•Sipnature PERMIT City of Eagan Permit Type:Building Permit Number:EA115732 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 4691 Nicols Rd Lot:2 Block: 1 Addition: Cedarview 2nd PID:10-16931-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Vladislav Fogel Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Reed 4691 Nicols Rd Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155071 Date Issued:04/26/2019 Permit Category:ePermit Site Address: 4691 Nicols Rd Lot:2 Block: 1 Addition: Cedarview 2nd PID:10-16931-01-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Reed 4691 Nicols Rd Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature